Cosmetic Medicines Ordering, Storage, Supply and Incident Reporting

This article gives an overview of the systems and processes that must be followed by cosmetic clinics when supplying prescription medicines.

A prescription medicine or drug legally requires a qualified doctor, dentist, nurse or pharmacist to write a prescription for a named patient. The list of drugs and prescribing qualifications may vary in different countries.

A cosmetic clinic must ensure that all medicines are ordered, stored and supplied within the legislative and other relevant pharmaceutical guidelines available.

Therefore ordering, storage and supply of medicines for use within the practice must be undertaken according to appropriate procedures and guidelines to ensure all relevant legislation and pharmaceutical information is adhered to.

Any medicines stored within a typical cosmetic clinic are those used for aesthetic purposes, this includes drugs such as Botox ® and Hyaluronidase. These must be stored according to manufacturer’s guidelines in a locked refrigerator or locked cabinet as appropriate. The temperature of the refrigerator should be monitored and documented daily. If the temperature is found to be outside the recommended range the pharmacy supplier must be informed as soon as possible and if necessary the medicines are returned to the supplier and a new supply obtained.

Supply of Medicines and Maintaining Patient Records for Cosmetic Clinics

The Medical Practitioner is responsible for maintaining a record of medicines obtained from the supplier for use during treatment. A copy of the prescription is retained in the patient’s notes and the following information is noted in the Medicines IN register. The Medical practitioner must include the following details:

– the name of the medicine (generic)

– the dose provided by the pharmacy

– the amount provided by the pharmacy

– the format of the medicine (oral I IM etc)

– the batch numbers and expiry dates

The Medical Practitioner is responsible for ensuring that details of the medicines administered are recorded in the patient notes, including:

– the name of the medicine (generic)

– the dose provided

– the route of administration

– the batch number and expiry date of the medicine

– the date and time of administration

The Medical Practitioner must also document in the Medicines OUT register the name of the patient the medicine was administered to and the date and time of administration. This will ensure an audit trail is available for each practitioner.

All medicines not used or expired must be returned to the pharmacy.

In conclusion only a medical professional should be accepted on a cosmetic training course. This will ensure all practitioners have experience with the use of prescription only medicines and record keeping. The medical practitioner who facilitates a cosmetic intervention should be a qualified doctor, dentist, nurse or pharmacist. These specialists have the prerequisite medical experience plus understand their legal and ethical requirements in prescribing, dispensing and administration of such drugs.

Any errors with the medication must be recorded and reported.

Reporting a Medication Incident

A cosmetic clinic must ensure that all medication incidents follow local legislative and other guidelines for your country of practice. The following is based on the UK CQC guidelines.

All practitioners involved with medication prescribing, dispensing or administration must be aware of the procedures to be followed in the event of a medication error or near miss.

Medication errors or near misses will occur despite having risk procedures in place, and all personnel involved in medication prescribing, dispensing or administration are at risk of being involved an error or a near miss. Because of this, comprehensive reporting of all medication incidents is crucial to enable the organization to learn from mistakes and improve practice wherever possible.

All incidents involving medication prescribing, dispensing or administration, ‘near misses’ and serious drug reactions must be documented on the Incident Report Form. A medication error is a preventable incident or omission that results in an increase in the risk of patient harm. A ‘near miss’ is a medication error that is discovered before it reaches the patient, thus preventing harm to the patient.

What to Report

The following are some of the issues that require an incident report:

– incorrect dose administered (both over and under dosing)

– incorrect route of administration

– incorrect rate of administration

– incorrect drug administered

– administration to the wrong patient

– failure to document administration in the patient’s medical notes

– administration of an expired drug

– prescribing errors

– incorrect labels

– allergies not recorded

– serious adverse effects including allergic reactions

Near Misses will also be recorded on the Incident Report form.

How to Report Medication errors

Medication errors involving administration to a patient will be documented in the patient’s notes. The Medical Practitioner should inform the patient.

The incident should be documented fully before the end of the day. This report form must be completed by the Medical Practitioner and given to the Practice Manager without delay.

Follow Up Procedures for Medication Errors

A follow-up is undertaken by the Medical Practitioner to ensure the safety of the patient. If necessary the patient must be referred to the nearest Emergency department for further review. The Practice Manager must undertake an investigation into the event ensuring a statement is taken from those involved.

The incident must be discussed at the next Clinical Governance meeting and an action plan developed to aim to prevent recurrence; this may include further training for the personnel involved.

Any severe medication incident must be reported to the within 24 hours of it occurring.

I hope you enjoyed the article. For more information about medicines and their regulations you can check with the Department of Health and MRHA in the UK. In the USA please refer to The Food and Drug Administration (FDA).

Understanding Molecular Medicine and Its Major Advantages

Molecular medicine is a broad concept and it incorporates the study of molecular structures, identifying genetic errors for the cause of a disease, use medical nanotechnology to correct them. The fundamental concept of molecular medicine is the distribution of medicine to the body cells and it is similar to the assimilation of oxygen by a healthy human being. The discipline (molecular medicine) is new. It combines medical studies of modern times with biochemistry. It offers a bridge between today’s medical science and biochemistry. The course of molecular biology includes disciplines like biochemistry, immunology, and biotechnology. Nanotechnology in medicine has many advantages like it leads to diminished costs of treatment, cost-effective and yet high quality drugs. Nanotechnology in medicines help in effective diagnosis and treatment of diseases, it will lead to modern treatment methods, treating complicated medical problems can become simplified.

Benefits of molecular medicine

Molecular medicines and nanotechnology in medicine have their own advantages. These include the following:

  • Molecular medicines can lead to the invention of elegant and cheap surgical/diagnostic tools.
  • Medical diagnosis and research can become effective and efficient.
  • Nano medical devices can be implanted permanently to treat specific medical conditions.
  • Many medical conditions can be prevented.
  • Unknown diseases can be treated effectively.
  • This can lead to semi-automated diagnosis and treatment.
  • The nanotechnology in medicines help to reduce mortality rate, improve health.
  • Using gene therapy or similar treatment methods, organs can be replaced easily.
  • The different biological systems in the body can be improved.

When nanotechnology is applied in medicine then it is known as Nano medicine. It caters to the improvement of human health using Nano tools (tools at the molecular level) of the human body. Such technology in medicine encompasses areas like drug delivery using nano-particles.

The human body comprises of molecules, the use of molecular nanotechnology enhances progress in the human medical services. The Nano medicine helps to understand the functioning of the biological machinery inside the living cells. This understanding helps medical professionals to cater to complicated medical conditions like AIDS, cancer, ageing. All these help to bring a significant improvement of the natural human biological structure. The understanding helps to reduce mortality rate, ensure proper functioning at the molecular level of the humans.

The understanding of the molecular medicine has resulted in developing Nano particles/molecules to help transfer medicine to each cell of the body. For a sick or unhealthy entity, such developments in molecular biology lead to effective treatment of complicated diseases. Using Nano medicine, malignant cells within a human body can be tracked and then treated. This entire process includes targeting of bacteria/viruses/tumors within the body by Nano particles, treating infections, diseases.

Molecular medicine advantages

Other advantages of using Nano medicines are given as follows:-

With Nano medicines, treatment is gentle and advanced. Most of such treatments are non-invasive. Powerful drugs may have side effects which cannot be ignored. By using molecular medicines, one can reduce the effects of the drugs. Since the use of Nano medicines does not involve surgery therefore it is less painful. Another important advantage of using Nano medicine is that it involves small yet highly sensitive diagnostic tools which accounts for better treatment of diseases. Treatments using Nano technology in medicines are cost effective. It is effective to treat complicated medical conditions like cancer.

Nano medicine disadvantages:

Nano-particles used as part of nanotechnology in medicines uses biochemical pathways, affect the different biological processes of the human body. Under such circumstances, a lack of knowledge about the effects of the nano-particles on the human body, it processes can be a disadvantage. The researchers who deal with design of the nano-particles remain concerned about their toxicity and characterization on their exposure to the biological pathways. If the nano-particles are toxic then they can pose severe threat to the humans and the environment. The researchers remain concerned as the people part of the society use the molecular medicine. In certain instances, researchers remain in doubt of the possible outcome of the use of certain Nano medicines.

Nanotechnology in medicines have revolutionized medical treatment. The doctors now see a ray of hope to treat medical conditions and diseases which were not treatable earlier. Nano medicines have their own advantages. However, researches are on to make the most of nanotechnology in the days to come.

Bowtrol Colon Cleanse

Bowtrol is an all-natural, non-habit forming colon cleansing treatment that cleans the vital organs and the lymphatic system. Bowtrol’s action is mild and safe. Internal cleansing takes place by stimulating elimination minus the usual pangs and cramps that are characteristic of most cleansers.

One of the most interesting features of Bowtrol is that unlike other cleansers, it is not made up of fiber. Instead, it contains a number of all-natural herbal ingredients like Turkey Rhubarb and Cascara Sagrada that promote better elimination.

Some of the benefits of using Bowtrol colon cleanse are:

– Improved digestion

– Decongests the intestinal tract by flushing out accumulated toxins and eliminating parasites

– Less constipation, indigestion, gas and bloating

– Improved energy levels through better absorption of nutrients

– Aids weight loss

Some of the most common symptoms of ill health due to improper internal purification are constipation, lack of sleep, inertia, exhaustion, indigestion, uncontrolled food cravings, caffeine and drug dependence. Many of the common ailments people suffer from, including but not limited to food allergies, flu, body pain, headaches, respiratory problems and sinuses have their root in improper elimination.

In order to prevent the above conditions, it is necessary to undergo a thorough internal cleansing from time to time. While choosing a product, particular care must be taken. You must select a product that helps you eliminate without any nasty cramps. Eliminations should be regular but non-interfering, meaning that the product should induce only 1-3 eliminations per day. More than that and it begins to interfere with your life and health.

If you have used other colon cleansing products, you’ll be happy to note that Bowtrol colon cleanse is quite different from the rest. For starters, it is non habit forming, which makes it safe for long-term use for the entire family.

Another big plus is that there are absolutely no reports of side effects associated with Bowtrol. No headaches or cramps. All you have to do is identify the number of pills you need to eat (varies between 3-8) in order to have healthy elimination.

Medicine from Recommended Pharmacies

With prescription medicines, there are so many choices to choose from and it is not easy finding cheaper and effective alternatives. Does your Government pay for all your health cost, or are you uninsured and you have the burden of 100% of the cost for your family’s health care. If you have health care coverage, what percentage do you have to pay?

Once you decide what category you fall under, you need to decide which medicine is right for you. Trying to save money on your prescriptions may not be for you but for the vast majority of us who are not well off, we have to shop around for a cheaper source of quality prescriptions.

This brings us to the internet with even more questions. A recent Google search for the word “pharmacy” came up with over 29 million possibilities. So out of the 29 million WebPages. Which pharmacies have good quality prescriptions, which ones are fly-by night and which ones have good customer service? That is where an online pharmacy review site comes in.

A good pharmacy review site will first find quality online pharmacies. Do background checks on the medical pharmacies and contact them to see if they respond in a timely matter. Some good websites will go to the extent of ordering prescriptions from pharmacies to see if the right prescriptions arrive on time and as prescribed.

There are thousands of online pharmacies to choose from and an online pharmacy review site can help users to start choosing their prescriptions from recommended pharmacies. This makes it easier for online users and starts them in the right path. Not only can they find good pharmacies from such a review site, they can also find medicine that are competitively priced and within their budget range. How often do people take their friends’ recommendations in trying out Lose Weight programs and medicine anyway?

The Health Care System is Broken – Should Big Parma Buy Hospitals?

We all know that the health-care system in the United States of America is broken and it doesn’t take a rocket scientist to figure that out. As podium pushers and politicians tell us that they will give us universal health care we all know that that is impossible. We also know that the Social Security system is running dry and we can barely afford that.

We know that there are all kinds of lobbyists from the health-care industry in Washington, DC trying to keep it going and keep the government paying for all these health services in our hospitals. The truth this is the Medicare system in the United States was originally ill-conceived and it is only gotten worse throughout the years. Today it represents a huge cost that we can no longer afford.

Indeed the health-care system is broken, but who is coming to the rescue and how come these politicians keep promising us universal health care – a scheme that would clearly bankrupt our nation? So who is going to bail out all the hospitals if the government stops footing the bill?

Maybe big Pharma and the pharmaceutical companies might buy up all the hospitals in order to make sure that those hospitals only sell their drugs? America is on drugs there is no doubt about that and the average Grandma now is probably taking 13 different medications all counter-acting each other, wow, now that is certainly quality of life.

It is incredible this crisis – maybe we should combine these two crisis – the health-care industry and big Pharma and put them together so we can manage them better as we cut off some of this excessive corporate welfare? Too hard hitting for you? So, what’s your solution then?

An Analgesic Pill a Day Keeps the Chills and Aches Away

Over The Counter (OTC) Analgesics or painkillers are drugs that act at different levels of the pain transmission pathway. Aspirin and other non-steroidal anti-inflammatory agents (NSAIDs) and many others act peripherally, while some others agents, such as opioids act on the central nervous system (CNS). While anticonvulsants act on neurogenic pain, muscle relaxants act on pain due to muscle spasm. These analgesics are helpful in pain management; however, they also have adverse effects.

The reasons for the growth of the OTC analgesics market

  • Increasing demand for topical analgesics, which are available as pain-relieving creams, lotions, rubs, gels, and sprays. This has increased the sale of analgesics by 18%, according to Kline Nonprescription Drugs USA report.
  • Increasing global geriatric population is expected to generate higher demand for pain relief products. In the United States, about 23% of the people were expected to cross 55 years of age in 2015.
  • Product innovation to improve performance, in terms of speed and strength, and further, improve the length of the effect.
  • Cost saving, as there would be no need to visit a doctor/physician. It is estimated that the US healthcare system saves USD 6-7 for every USD 1 spent on OTC medicines.

However, anything in excess can take a toll and it is no different with OTC analgesics. The common side-effects include constipation, drowsiness, dizziness, upset stomach, heart attack or stroke. These drugs can cause serious changes in the brain and body. Long-term use of painkillers increases addiction and dependency on the drugs. In the United States, painkillers are the second most abused substances, after marijuana. Pain, in some form or the other, is part of one’s daily life, hence, the need for painkillers.

A report by a market research firm estimates a double-digit growth rate for the Global OTC Analgesics Market, estimated to become a market worth USD 20.79 billion by 2022.

The OTC analgesics market is driven by the better performance of premium-priced branded products as compared to generic OTC analgesics.

Hurdles for the market include:

Uncontrolled prescription of opioids, drug abuse, and unregulated government policies are acting as hurdles for this market.

The Way Ahead:

Innovation in OTC analgesics, like absorption dimension that drives a fast action of analgesics, improved performance, multi-action of analgesics, and high specialization in reducing symptoms of specific ailments, are expected to drive market in the future. Availability of various analgesic drugs in online, owing to increasing number of online pharmacies, is driving the OTC analgesics market.

Some Important Aspects Regarding Healthcare Products

You can find all sorts of vitamin and mineral capsules these days. These natural healthcare products can help heal certain ailments.

There are two types of vegetable, fruits and animals, which are sold in the market these days, organic and non-organic. It is normal for non-organic farmers to use pesticide for their vegetables and fruits. To have larger sized farm animals, non-organic farmers use hormone on their animals. Antibiotics are injected to ensure that animals are not inflicted with any type of disease.

In other words, residues of chemicals and antibiotics could pass on to those who eat non-organic vegetables and animals. By spraying pesticides on vegetables and fruits, there could be essential loss of important vitamins like Vitamin B and C. If you eat only organic food, you may not face the problem of lack of vitamins and existence of toxins in your body.

Taking a daily dosage of Vitamin C, B complex and other vitamins might be necessary for normal healthy people. As you may know, Vitamin C is vital in preventing various diseases including viral infection. In today’s world of environmental pollution, there is bound to be many toxins in one’s body due to inhalation of polluted air.

Another cause of toxins in the body could be non-organic meat. Getting rid of such toxins is vital for having a healthy body. Wu Long tea and green tea are known for purifying the body from free radicals. Moreover, regular drinking of Wu Long tea could give other health benefits as well. Your body’s immune system is stronger. Even the cholesterol level in your body is very much reduced by drinking this tea regularly.

If you are tensed up due to work or other matters, simply take a cup of chamomile tea. It would calm you down. Even those who face problem sleeping at night should try drinking chamomile at night. Just drink a cup around half an hour before sleeping. Research and findings in bio-pharmaceutical technology has brought about the production of various natural healthcare products for maintaining health or curing sicknesses.

As a precaution, it is better to check with your physician especially if you are suffering from any ailment. It is important the labels of the products and follow the instructions properly to avoid any possible overdose. In short, natural healthcare products can be taken as a means of healthy living.

Health Is the Strength of a Country

The development of the health of the world very rapidly now makes the emergence of new discoveries in anticipation of a disease or how to cure a disease.

While the definition of health is a prosperous state of body, soul, and the social that allows every person to live a socially and economically productive.

Health care is an effort to combating and prevention of health problems that require examination, treatment and / or treatment, including pregnancy and childbirth.

With increasing health consciousness of a nation will make the standard of living and economy of a nation’s level will be high. This makes many governments in various countries that provide health budget to more than 20% of their total expenditure per year.

Health Development Goals

For long-term health development is directed to the achievement of key objectives as follows:

1. Increased ability of communities to help themselves in the field of health.
2. Improvement of environmental quality that can ensure the health.
3. Improved nutritional status of the community.
4. Reduction of morbidity (morbidity) and death (mortality).
5. The development of healthy families prosper, with growing acceptance of small family norm of a happy and prosperous.

As for the basics of national development in health sector are as follows:

1. Every citizen is entitled to obtain an optimal level of health to work and live properly in accordance with human dignity.
2. Government and society are responsible for maintaining and enhancing people’s health status.
3. Implementation of health measures stipulated by the government and conducted in a harmonious and balanced by the government and society.

Things That Are Expected From a 24 Hour Emergency Doctor

More than the regular doctor who visits a clinic or a hospital, a 24 hour emergency doctor service is essential. Medical emergencies may crop up anytime. These situations are inevitable and irrespective of the nature of the emergency, an immediate helping hand is essential. Numerous hospitals have emergency medical services like a 24 hour emergency doctor service even after the visiting hours. Though any helping hand is welcomed at the time of adversity or an emergency, there a couple of things that are expected from a doctor, regardless the situation at hand.

• Always available: Emergency medical services comprises of two different parts. First is the pre-hospital care given to a patient and this includes the first aid measures taken. It also includes the transportation of the patient from the place of emergency to a hospital for which the ambulance services are used. The second division of the emergency service involves the transfer of the patient from one hospital to another in the case of an emergency or a need of better treatment and care.

• Transparency: A long drag speech in medical jargons and a series of tests and an illegible prescription is not what is expected of a doctor. In the case of an emergency, you need a clear picture of what is happening and not a haphazard answer. A 24 hour emergency doctor is expected to be dedicated and passionate about his work and understands the mental state of not only the patient but also the people with him. Telling what things mean, and what is to be done immediately is well appreciated.

• Respects you and your emotions: An ideal doctor must be able to listen to you actively, your problems and your worries without interrupting and intimidating you. In this busy world, rushed appointments have become a common thing, and it neither benefits the patients nor the doctor. More than respecting your time, it is essential that you are able to connect with your doctor emotionally as well. A certain level of trust and confidence is essential to make things easier for both. A clear idea of the big picture is essential before coming to conclusions and taking a decision.

• Makes decisions with you and not for you: You should always be a part of any decision that is taken for you. An ideal doctor must be able to understand that you know your body and routines better than anyone else. You have the right to ask questions regarding any tests or medicines prescribed to you, and a doctor is answerable to any of your doubts.

• Shouldn’t Keep money in mind: Doctors are one the most respected people in the society. It is a service that requires a lot of ethics, commitment and passion. A doctor cannot be successful if he just money-minded. The life-saving profession should be done as a service and not as a job.

Tips On Reducing Health Care

When it comes to lowering your health insurance premiums it takes no rocket scientist to figure out how it’s done. If you’re trying to reduce your insurance premiums then you need to become less of a risk for the insurance companies. You can become less of a risk for insurance companies through exercise, eating healthy and preventative care.

If you’re not exercising at least three times per week then you have got to get on a program. A good program consists of you doing cardiovascular training three times per week for 45 minutes. You should be weight training at least twice per week for 30 minutes. For some, getting to the gym might be out of the question. If it’s difficult for you to get to the gym, then take up some other form of exercise including walking, running, hiking and sports.

If you’re not currently eating 5-6 meals per day then you have got to get on the band wagon. All nutritional experts agree on the principle of grazing throughout the day, taking in smaller portions for meals. When you are doing this you are allowing your body to digest food much easier thus creating a faster metabolism. When your metabolism speeds up then you are able to lose weight and get in shape. Along with eating five to six meals per day also remember to eat healthy. The best part about eating healthy is that there are many options for healthy food. The best tip for eating healthy is to keep it as natural as possible. Try to avoid processed food at all costs.

Preventative care is you being proactive with your body, and going in for a check-up if something feels out of place. Preventive care is you avoiding unnecessary risks that could jeopardize your health. This mindset is you acting, and not being acted upon. If you are truly exercising a preventative attitude then you won’t allow yourself to get obese or unhealthy, because you are in control of your future. If you exercise, eat healthy, and implement preventative health care, you will be able to not only live longer and healthier, but you will also have reduced your health care substantially.